scholarly journals The prevalence of HIV among MSM in China: a large-scale systematic analysis

2019 ◽  
Author(s):  
Mengjie Dong ◽  
Bin Peng ◽  
Zhen-Feng Liu ◽  
Qian-ni Ye ◽  
Hao Liu ◽  
...  
Keyword(s):  
Public Health ◽  
Large Scale ◽  
Hiv Prevalence ◽  
Cochrane Library ◽  
Cross Sectional ◽  
Systematic Analysis ◽  
Health Challenge ◽  
Public Health Challenge ◽  
Meta Regression Analysis ◽  
National Prevalence

Abstract Background：The prevalence of HIV among men who have sex with men (MSM) has become a significant public health challenge. The aim was to comprehensively estimate the national prevalence of HIV among MSM and its time trends through a large-scale systematic analysis. Methods：Systematic search of Cochrane Library, PubMed, EMBASE, CNKI, VIP, and Wanfang Data databases without language restriction for studies on the prevalence of HIV among MSM published before Dec.31, 2018. Studies were eligible for inclusion if they were published in the peer-reviewed literature and used validated assessment methods to assess the prevalence of HIV among MSM. Estimates were pooled using random-effects analysis.Results：Data were extracted from 355 cross-sectional studies (571,328 individuals) covered 59 cities from 30 provinces and municipalities of China. The overall national prevalence of HIV among MSM from 2001 to 2018 was estimated to be 5.7% (95% CI: 5.4–6.1%), with high between-study heterogeneity (I2 = 98.0%, P < 0.001). Our study showed an increased tendency in the HIV prevalence as time progressed by meta-regression analysis (I2= 95.9%, P<0.0001). HIV prevalence was the highest in those aged 50 years and older with HIV prevalence of 19.3% (95%CI: 13.1-27.4%, N=13). HIV was more prevalent in the illiterate population (16.8%), than in those who had received an education. Although the internet was a major venue for Chinese MSM seeking male sex partners (35.6%, 95%CI: 32.3%-39.9%, N=101), seeking MSM in bathhouses/saunas had the highest associated prevalence of HIV (13.4%, 95%CI: 10.3%-17.1%, N=22). The HIV prevalence among MSM varied by location: compared with other regions in China, HIV was highly prevalent among MSM in the southwest (10.7%, 95%CI: 9.3%-12.2%, N=91). Compared to participants who sometimes or always used condoms, participants who had never used a condom in the past 6 months had a higher risk of HIV infection, with odds ratios of 0.1 (95%CI: 0.08-0.14). Conclusions：Our analysis provided reliable estimates of China’s HIV burden among MSM, which appears to present an increasing national public health challenge. Effective government responses are needed to address this challenge and include the implementation of HIV prevention.

scholarly journals The prevalence of HIV among MSM in China: a large-scale systematic analysis

2019 ◽  
Author(s):  
Mengjie Dong ◽  
Bin Peng ◽  
Zhen-Feng Liu ◽  
Qian-ni Ye ◽  
Hao Liu ◽  
...  
Keyword(s):  
Public Health ◽  
Large Scale ◽  
Hiv Prevalence ◽  
Cochrane Library ◽  
Cross Sectional ◽  
Systematic Analysis ◽  
Health Challenge ◽  
Public Health Challenge ◽  
Meta Regression Analysis ◽  
National Prevalence

Abstract Background：The prevalence of HIV among men who have sex with men (MSM) has become a significant public health challenge. The aim was to comprehensively estimate the national prevalence of HIV among MSM and its time trends through a large-scale systematic analysis. Methods：Systematic search of Cochrane Library, PubMed, EMBASE, CNKI, VIP, and Wanfang Data databases without language restriction for studies on the prevalence of HIV among MSM published before Dec.31, 2018. Studies were eligible for inclusion if they were published in the peer-reviewed literature and used validated assessment methods to assess the prevalence of HIV among MSM. Estimates were pooled using random-effects analysis. Results：Data were extracted from 355 cross-sectional studies (571,328 individuals) covered 59 cities from 30 provinces and municipalities of China. The overall national prevalence of HIV among MSM from 2001 to 2015 was estimated to be 5.7% (95% CI: 5.4–6.1%), with high between-study heterogeneity (I2 = 98.0%, P < 0.001). Our study showed an increased tendency in the HIV prevalence as time progressed by meta-regression analysis (I2= 95.9%, P<0.0001). HIV prevalence was the highest in those aged 50 years and older with HIV prevalence of 19.3% (95%CI: 13.1-27.4%, N=13). HIV was more prevalent in the illiterate population (16.8%), than in those who had received an education. Although the internet was a major venue for Chinese MSM seeking male sex partners (35.6%, 95%CI: 32.3%-39.9%, N=101), seeking MSM in bathhouses/saunas had the highest associated prevalence of HIV (13.4%, 95%CI: 10.3%-17.1%, N=22). The HIV prevalence among MSM varied by location: compared with other regions in China, HIV was highly prevalent among MSM in the southwest (10.7%, 95%CI: 9.3%-12.2%, N=91). Compared to participants who sometimes or always used condoms, participants who had never used a condom in the past 6 months had a higher risk of HIV infection, with odds ratios of 0.1 (95%CI: 0.08-0.14). Conclusions：Our analysis provided reliable estimates of China’s HIV burden among MSM, which appears to present an increasing national public health challenge. Effective government responses are needed to address this challenge and include the implementation of HIV prevention.

scholarly journals The prevalence of HIV among MSM in China: a large-scale systematic analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Meng-Jie Dong ◽  
Bin Peng ◽  
Zhen-Feng Liu ◽  
Qian-ni Ye ◽  
Hao Liu ◽  
...  
Keyword(s):  
Public Health ◽  
Large Scale ◽  
Hiv Prevalence ◽  
Cochrane Library ◽  
Cross Sectional ◽  
Systematic Analysis ◽  
Health Challenge ◽  
Public Health Challenge ◽  
Meta Regression Analysis ◽  
National Prevalence

Abstract Background The prevalence of HIV among men who have sex with men (MSM) has become a significant public health challenge. The aim was to comprehensively estimate the national prevalence of HIV among MSM and its time trends through a large-scale systematic analysis. Methods Systematic search of Cochrane Library, PubMed, EMBASE, CNKI, VIP, and Wanfang Data databases without language restriction for studies on the prevalence of HIV among MSM published before Dec.31, 2018. Studies were eligible for inclusion if they were published in the peer-reviewed literature and used validated assessment methods to assess the prevalence of HIV among MSM. Estimates were pooled using random-effects analysis. Results Data were extracted from 355 cross-sectional studies (571,328 individuals) covered 59 cities from 30 provinces and municipalities of China. The overall national prevalence of HIV among MSM from 2001 to 2018 was estimated to be 5.7% (95% CI: 5.4–6.1%), with high between-study heterogeneity (I2 = 98.0%, P <  0.001). Our study showed an increased tendency in the HIV prevalence as time progressed by meta-regression analysis (I2 = 95.9%, P <  0.0001). HIV prevalence was the highest in those aged 50 years and older with HIV prevalence of 19.3% (95%CI: 13.1-27.4%, N = 13). HIV was more prevalent in the illiterate population (16.8%), than in those who had received an education. Although the internet was a major venue for Chinese MSM seeking male sex partners (35.6, 95%CI: 32.3-39.9%, N = 101), seeking MSM in bathhouses/saunas had the highest associated prevalence of HIV (13.4, 95%CI: 10.3-17.1%, N = 22). The HIV prevalence among MSM varied by location: compared with other regions in China, HIV was highly prevalent among MSM in the southwest (10.7, 95%CI: 9.3-12.2%, N = 91). Compared to participants who sometimes or always used condoms, participants who had never used a condom in the past 6 months had a higher risk of HIV infection, with odds ratios of 0.1 (95%CI: 0.08-0.14). Conclusions Our analysis provided reliable estimates of China’s HIV burden among MSM, which appears to present an increasing national public health challenge. Effective government responses are needed to address this challenge and include the implementation of HIV prevention.

scholarly journals The prevalence of HIV among MSM in China: a large-scale systematic analysis

2019 ◽  
Author(s):  
Mengjie Dong ◽  
Bin Peng ◽  
Zhen-Feng Liu ◽  
Qian-ni Ye ◽  
Hao Liu ◽  
...  
Keyword(s):  
Public Health ◽  
Large Scale ◽  
Hiv Infections ◽  
Hiv Prevalence ◽  
Cochrane Library ◽  
Cross Sectional ◽  
Systematic Analysis ◽  
Health Challenge ◽  
Public Health Challenge ◽  
National Prevalence

Abstract Objectives：The prevalence of HIV among men who have sex with men (MSM) has become a significant public health challenge. The aim was to comprehensively estimate the national prevalence of HIV among MSM and its time trends through a large-scale systematic analysis. Methods：Systematic search of Cochrane Library, PubMed, EMBASE, CNKI, VIP, and Wanfang Data databases without language restriction for studies on the prevalence of HIV among MSM published before March 2016. Studies were eligible for inclusion if they were published in the peer-reviewed literature and used validated assessment methods to assess the prevalence of HIV among MSM. Estimates were pooled using random-effects analysis. Results：Data were extracted from 325 cross-sectional studies (482,977 individuals) covered 59 cities from 30 provinces and municipalities of China. The overall national prevalence of HIV among MSM from 2001 to 2014 was estimated to be 6.3% (95% CI: 6.1–6.6%), with high between-study heterogeneity (I2 = 92.3%, P < 0.001). The pooled estimates of HIV infections among MSM for years 2000–2004, 2005-2009, and 2010–2014 were 1.3% (95% CI: 0.9-2.0, N=14), 4.3 (95% CI: 3.8- 4.8, N=235), and 7.5 (95% CI: 7.0-8.2, N=241), respectively. HIV prevalence was the highest in those aged 50 years and older with HIV prevalence of 19.3%( 95%CI: 13.1-27.4%, N=13). HIV was more prevalent in the illiterate population (16.76%), than in those who had received an education. Although the internet was a major venue for Chinese MSM seeking male sex partners (41.7%, 95%CI: 39.5%-43.9%, N=100), seeking MSM in bathhouses/saunas had the highest associated prevalence of HIV (14.6%, 95%CI: 11.4%-18.5%, N=20). The HIV prevalence among MSM varied by location: compared with other regions in China, HIV was highly prevalent among MSM in the southwest (11.1%, 95%CI: 10.2%-12.0%, N=57). Compared to participants who sometimes or always used condoms, participants who had never used a condom in the past 6 months had a higher risk of HIV infection, with odds ratios of 0.1 (95%CI:0.08-0.14). Conclusions：Our analysis provided reliable estimates of China’s HIV burden, which appears to present an increasing national public health challenge. Effective government responses are needed to address this challenge and include the implementation of HIV prevention.

scholarly journals The prevalence of HIV among MSM in China: a large-scale systematic review

2019 ◽  
Author(s):  
Mengjie Dong ◽  
Bin Peng ◽  
Zhen-Feng Liu ◽  
Hao Liu ◽  
Bo Zhang ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Large Scale ◽  
Hiv Prevalence ◽  
Cochrane Library ◽  
Cross Sectional ◽  
The Past ◽  
Health Challenge ◽  
Public Health Challenge ◽  
National Prevalence

Abstract Objectives：The prevalence of HIV among men who have sex with men (MSM) has shown a consistent upward trend in China and has become a significant public health challenge. The aim was to comprehensively estimate the national prevalence of HIV among MSM and its time trends through a large-scale systematic review. Methods：Systematic search of Cochrane Library, PubMed, EMBASE, CNKI, VIP, and Wanfang Data databases without language restriction for studies on the prevalence of HIV among MSM published before March 2016. Studies were eligible for inclusion if they were published in the peer-reviewed literature and used validated assessment methods to assess the prevalence of HIV among MSM. Estimates were pooled using random-effects meta-analysis. Results：Data were extracted from 325 cross-sectional studies (482,977 individuals) covered 59 cities from 30 provinces and municipalities of China. The overall national prevalence of HIV among MSM from 2001 to 2014 was estimated to be 6.32% (95% CI: 6.05–6.60%), with high between-study heterogeneity (I2 = 92.3%, P < 0.001). A dramatic increase was showed in HIV prevalence over the past 14 years, 1.31% (95%CI: 0.33–5.07%) in 2001, reaching a high of 11.44% (95%CI: 10.19%-12.83%) in 2014. HIV prevalence was the highest in those aged 50 years and older with HIV prevalence of 19.31 %( 95%CI: 13.14-27.44%). HIV was more prevalent in the illiterate population (16.76%), than in those who had received an education. Although the internet was a major venue for Chinese MSM seeking male sex partners (41.65%, 95%CI: 0.3947-0.4387), seeking MSM in bathhouses/saunas had the highest associated prevalence of HIV (14.58%, 95%CI: 11.40%-18.47%). The HIV prevalence among MSM varied by location: compared with other regions in China, HIV was highly prevalent among MSM in the southwest (11.06%, 95%CI: 10.22%-11.95%). Compared to participants who sometimes or always used condoms, participants who had never used a condom in the past 6 months had a higher risk of HIV infection, with odds ratios of 0.1 (95%CI: 0.08-0.14).Conclusions：Our analysis provided reliable estimates of China’s HIV burden, which appears to present an increasing national public health challenge. Effective government responses are needed to address this challenge and include the implementation of HIV prevention.

scholarly journals Hypertension among Young Adults in the Shopping Malls of Kathmandu

2013 ◽  
Vol 9 (1) ◽  
pp. 33-36 ◽  
Author(s):  
S Shakya ◽  
M Timilsina ◽  
K Timilsina ◽  
M Lamsal ◽  
S Dhakal ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Shopping Malls ◽  
Cross Sectional ◽  
Health Challenge ◽  
Study Population ◽  
Public Health Challenge ◽  
And Control

Background Hypertension is a major public health challenge in the world. Developing countries share the major burden of it. Unlike thought before, hypertension is increasing among poor, young and women. Methods It was a cross sectional study carried out in The Hypertension Screening and Awareness Program conducted in the shopping malls at the heart of Kathmandu on the occasion of World Hypertension Day 2012 by Shahid Gangalal National Heart Center, Kathmandu. The blood pressure was measured according to World Heart Organization’s guideline by registered nurses. There were total 486 participants with the mean age of 29.51±10.77years. Majority of the participants were male (67.1%). Most of the participants were less or equal to 40 years (84.6%). Mean systolic blood pressure was 112.3±14.69mmHg and mean diastolic blood pressure was 75.09±11.89 mmHg. Average mean blood pressure was 87.41±12.28mmHg in the study population. Results Despite majority of participants were at young age, prevalence of hypertension was 23.7%, pre-hypertension was 30% and 46.3% had ideal blood pressure according to JNC-7 Classification. Prevalence of hypertension was higher among male (30.39% vs. 10%). Almost two third of the hypertensive subjects were less or equal to 40 years (64.35%). Awareness, treatment and control of hypertension were 39.13%, 18.26% and 7.38% respectively. Conclusion In conclusion, Hypertension is an emerging public health challenge in urban areas of Nepal. Most importantly, it may be increasing among young population. Moreover, awareness, treatment and control rates are not satisfactory. DOI: http://dx.doi.org/10.3126/njh.v9i1.8346 Nepalese Heart Journal Vol.9(1) 2012 pp.33-36

scholarly journals Public Health Workforce Burnout in the COVID-19 Response in the U.S.

2021 ◽  
Vol 18 (8) ◽  
pp. 4369
Author(s):  
Kahler W. Stone ◽  
Kristina W. Kintziger ◽  
Meredith A. Jagger ◽  
Jennifer A. Horney
Keyword(s):  
Public Health ◽  
Health Workforce ◽  
Work Experience ◽  
Large Scale ◽  
Health Workers ◽  
Public Health Workforce ◽  
Cross Sectional Survey ◽  
Public Health Response ◽  
Cross Sectional ◽  
The U.S

While the health impacts of the COVID-19 pandemic on frontline health care workers have been well described, the effects of the COVID-19 response on the U.S. public health workforce, which has been impacted by the prolonged public health response to the pandemic, has not been adequately characterized. A cross-sectional survey of public health professionals was conducted to assess mental and physical health, risk and protective factors for burnout, and short- and long-term career decisions during the pandemic response. The survey was completed online using the Qualtrics survey platform. Descriptive statistics and prevalence ratios (95% confidence intervals) were calculated. Among responses received from 23 August and 11 September 2020, 66.2% of public health workers reported burnout. Those with more work experience (1–4 vs. <1 years: prevalence ratio (PR) = 1.90, 95% confidence interval (CI) = 1.08−3.36; 5–9 vs. <1 years: PR = 1.89, CI = 1.07−3.34) or working in academic settings (vs. practice: PR = 1.31, CI = 1.08–1.58) were most likely to report burnout. As of September 2020, 23.6% fewer respondents planned to remain in the U.S. public health workforce for three or more years compared to their retrospectively reported January 2020 plans. A large-scale public health emergency response places unsustainable burdens on an already underfunded and understaffed public health workforce. Pandemic-related burnout threatens the U.S. public health workforce’s future when many challenges related to the ongoing COVID-19 response remain unaddressed.

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